Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $79.43 / $100.00	Facility	26	$72.44	$79.43	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $645.65	Professional		$208.93	$234.42	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $64.57 / $154.88	Professional	26	$57.54	$64.57	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $169.82 / $389.05	Professional	TC	$151.36	$169.82	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $501.19	Professional		$213.80	$302.00	$501.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $58.88 / $102.33	Professional	26	$48.98	$58.88	$102.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $239.88 / $426.58	Professional	TC	$165.96	$239.88	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $707.95	Professional		$239.88	$457.09	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $77.62 / $128.82	Professional	26	$60.26	$77.62	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $309.03 / $630.96	Professional	TC	$169.82	$309.03	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $724.44	Professional		$208.93	$371.54	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $66.07 / $112.20	Professional	26	$54.95	$66.07	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $275.42 / $691.83	Professional	TC	$151.36	$275.42	$691.83